Sgoh Acquisition Inc - Medicare Primary Care in Springfield, MO

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Sgoh Acquisition Inc is a medicare enrolled primary clinic (Clinic/center) in Springfield, Missouri. The current practice location for Sgoh Acquisition Inc is 1540 E Evergreen St, Springfield, Missouri. For appointments, you can reach them via phone at (417) 823-2900. The mailing address for Sgoh Acquisition Inc is 1540 E Evergreen St, Springfield, Missouri and phone number is (417) 823-2900.

Sgoh Acquisition Inc is licensed to practice in Missouri (license number 4546). The clinic also participates in the medicare program and its NPI number is 1114924768. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 823-2900.

Contact Information

Sgoh Acquisition Inc
1540 E Evergreen St
Springfield
MO 65803-4300
(417) 823-2900
(417) 886-2774

Map and Direction


Primary Care Clinic Profile

Full NameSgoh Acquisition Inc
SpecialityClinic/Center
Location1540 E Evergreen St, Springfield, Missouri
Authorized Official Name and PositionPaul Taylor (CEO)
Authorized Official Contact4178372000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sgoh Acquisition Inc
1540 E Evergreen St
Springfield
MO 65803-4300

Ph: (417) 823-2900		Sgoh Acquisition Inc
1540 E Evergreen St
Springfield
MO 65803-4300

Ph: (417) 823-2900

NPI Details:

NPI Number1114924768
Provider Enumeration Date06/28/2005
Last Update Date07/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092616276
Medicare Enrollment IDO20040205000647

Medical Identifiers

Medical identifiers for Sgoh Acquisition Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114924768NPI-NPPES
540564408MedicaidMO
CR0762OtherMORR MEDICARE
121295105MedicaidAR
010564409MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 4546 (Missouri)Primary
283Q00000XPsychiatric Hospital (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies 454-8 (Missouri)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sgoh Acquisition Inc acts as a billing entity for following providers:
Provider NameJackie S Beene
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841296548
PECOS PAC ID: 9537050034
Enrollment ID: I20040323001705
Provider NameWard M Lawson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083619506
PECOS PAC ID: 6507766862
Enrollment ID: I20040730000773
Provider NameJay P Baker
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1972509974
PECOS PAC ID: 8820049331
Enrollment ID: I20050202000249
Provider NameFernando Cavero
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669545711
PECOS PAC ID: 8224082482
Enrollment ID: I20050310000209
Provider NameCoral L Couchenour
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538169131
PECOS PAC ID: 7214966753
Enrollment ID: I20050805000043
Provider NameCraig L Pendergrass
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700835469
PECOS PAC ID: 9537159801
Enrollment ID: I20050808000189
Provider NameSuckhong Brian Kim
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1922041839
PECOS PAC ID: 2163452970
Enrollment ID: I20050820000130
Provider NameGregoria Villaruel-kirk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588649651
PECOS PAC ID: 0941233837
Enrollment ID: I20050912000995
Provider NameKrista L Koinzan Boyd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811950900
PECOS PAC ID: 4880614908
Enrollment ID: I20051202000604
Provider NameLinda C Burdett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639154677
PECOS PAC ID: 3173545886
Enrollment ID: I20051222000049
Provider NameJohn J Magnuson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770689747
PECOS PAC ID: 9931117603
Enrollment ID: I20060323000046
Provider NameJohn S Carpenter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083792451
PECOS PAC ID: 4981604592
Enrollment ID: I20070105000002
Provider NameRobert D Hill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538168133
PECOS PAC ID: 0941254312
Enrollment ID: I20070613000688
Provider NameRobin L Cavero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750456224
PECOS PAC ID: 4385736255
Enrollment ID: I20070823000035
Provider NameRobert L Sweeten
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164509766
PECOS PAC ID: 6204810286
Enrollment ID: I20071023000135
Provider NameFrederick M Faust
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346350162
PECOS PAC ID: 6406927979
Enrollment ID: I20080611000703
Provider NameCharles Watt
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1134124324
PECOS PAC ID: 1951349083
Enrollment ID: I20081107000729
Provider NameRobert W Powers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881699072
PECOS PAC ID: 7315034428
Enrollment ID: I20081112000030
Provider NamePatrick E Macmillan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073604690
PECOS PAC ID: 7214097906
Enrollment ID: I20081126000092
Provider NameWilliam Mckay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265417331
PECOS PAC ID: 7315985447
Enrollment ID: I20081205000103
Provider NameWilliam J Howitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306834288
PECOS PAC ID: 5294896528
Enrollment ID: I20081205000126
Provider NameThomas E Dahlberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013013093
PECOS PAC ID: 6406919604
Enrollment ID: I20090114000594
Provider NameKaren L Madsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023252756
PECOS PAC ID: 5496805178
Enrollment ID: I20090618000497
Provider NameSteven R Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639168230
PECOS PAC ID: 9537211610
Enrollment ID: I20090721000477
Provider NameArthur Joe Cohn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215932488
PECOS PAC ID: 8325086440
Enrollment ID: I20091118000282
Provider NameJaniece R Bridges
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1184758617
PECOS PAC ID: 1456260991
Enrollment ID: I20110628000580
Provider NameBonnie L Stark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669744504
PECOS PAC ID: 7618137290
Enrollment ID: I20120320000478
Provider NameNidal Dabbasi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609867464
PECOS PAC ID: 8921270232
Enrollment ID: I20120320000805
Provider NameJana Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497028344
PECOS PAC ID: 9234374950
Enrollment ID: I20130401000243
Provider NameCassidy Nichole Giebler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841530474
PECOS PAC ID: 9032359088
Enrollment ID: I20130716000119
Provider NameTracy Lowry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407122179
PECOS PAC ID: 6103067657
Enrollment ID: I20130725000201
Provider NameKiana Rachelle Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669883849
PECOS PAC ID: 4082839634
Enrollment ID: I20140715002184
Provider NameDavid Tucker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023076619
PECOS PAC ID: 8022911726
Enrollment ID: I20140929000269
Provider NameNancy Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346208527
PECOS PAC ID: 5698678399
Enrollment ID: I20140929001228
Provider NameAshley M Lilienkamp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427446202
PECOS PAC ID: 7012233133
Enrollment ID: I20150309002314
Provider NameChristopher M Ward
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1245631340
PECOS PAC ID: 0648599795
Enrollment ID: I20150512001422
Provider NameJerald D Forsyth
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1558451948
PECOS PAC ID: 1456662436
Enrollment ID: I20150617000998
Provider NameAmmar Taha
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992032577
PECOS PAC ID: 1850538968
Enrollment ID: I20150731014411
Provider NameJill D Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851744718
PECOS PAC ID: 5092000760
Enrollment ID: I20160819000048
Provider NameKory Dee Miskin
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1215376058
PECOS PAC ID: 0941441018
Enrollment ID: I20161121001212
Provider NameMargaret L Kleiboeker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427593920
PECOS PAC ID: 8325320344
Enrollment ID: I20170126000521
Provider NameTiffany Renee Kirk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619491024
PECOS PAC ID: 2961773395
Enrollment ID: I20170803001979
Provider NameJustin Ellis Costello
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215235916
PECOS PAC ID: 5799054326
Enrollment ID: I20170914002374
Provider NameAmberlyn Casie Logan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184135113
PECOS PAC ID: 6800162660
Enrollment ID: I20171023000754
Provider NameCharity Hs Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225542863
PECOS PAC ID: 4880951193
Enrollment ID: I20171121002904
Provider NameKatrina Lea Selsor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073020673
PECOS PAC ID: 8820357320
Enrollment ID: I20180108002431
Provider NameNancy M Willis-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144206673
PECOS PAC ID: 0446351464
Enrollment ID: I20180405001954
Provider NameEugene Park Chung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528030525
PECOS PAC ID: 4486624160
Enrollment ID: I20180827002932
Provider NameAngela R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356817589
PECOS PAC ID: 8426392937
Enrollment ID: I20181210001530
Provider NameTara N Loveland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003389941
PECOS PAC ID: 8729325204
Enrollment ID: I20190122001729
Provider NameKenneth Marcus Poemoceah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881652592
PECOS PAC ID: 8224931936
Enrollment ID: I20190124002831
Provider NameJessica Burks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083188080
PECOS PAC ID: 7719225325
Enrollment ID: I20190206001514
Provider NameJoseph Adam Reighard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295938934
PECOS PAC ID: 6204174147
Enrollment ID: I20190219001068
Provider NameAudrey Anne Hubler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831754720
PECOS PAC ID: 4688917727
Enrollment ID: I20190513002662
Provider NameChristine Marie Rogers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154845246
PECOS PAC ID: 1850704511
Enrollment ID: I20210119002533
Provider NameAmanda J Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659960979
PECOS PAC ID: 5698181857
Enrollment ID: I20210312001263
Provider NameBonnie J Daniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235715962
PECOS PAC ID: 9234547704
Enrollment ID: I20210421002853
Provider NameFrederick Nicholas Day
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1275736340
PECOS PAC ID: 5193635779
Enrollment ID: I20210604000898
Provider NameShanna Michelle Gilliland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740855709
PECOS PAC ID: 9335541549
Enrollment ID: I20210712000487
Provider NameRyan Lawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609450782
PECOS PAC ID: 9436552924
Enrollment ID: I20210721001660
Provider NameTaylor Lauren Heath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518602259
PECOS PAC ID: 0345637765
Enrollment ID: I20220503001037
Provider NameJulia Marie Eden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821733833
PECOS PAC ID: 8224425509
Enrollment ID: I20220505001158
Provider NameLacy J Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376268755
PECOS PAC ID: 5890162978
Enrollment ID: I20221102000948
Provider NameAshlea Ritter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396464475
PECOS PAC ID: 7214313691
Enrollment ID: I20221212001059
Provider NameShannon Patrick Calhoun
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598715278
PECOS PAC ID: 7911804398
Enrollment ID: I20230217001317
Provider NameJason Robert Divito
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558604876
PECOS PAC ID: 4183981947
Enrollment ID: I20230217001411
Provider NameMonjari Gillian
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265533665
PECOS PAC ID: 4587550876
Enrollment ID: I20230217001437
Provider NameJason Grennan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457313314
PECOS PAC ID: 9830179092
Enrollment ID: I20230218000082
Provider NameDavid Scott Henley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770518128
PECOS PAC ID: 2769374032
Enrollment ID: I20230218000088
Provider NameJonathan Jaksha
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871555649
PECOS PAC ID: 3274632054
Enrollment ID: I20230218000114
Provider NameSteven Todd Mccormack
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023000338
PECOS PAC ID: 4183651987
Enrollment ID: I20230223000125
Provider NameJarret Kuo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720228778
PECOS PAC ID: 0446495626
Enrollment ID: I20230223000253
Provider NameJonathan G Reed
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588653075
PECOS PAC ID: 3577669928
Enrollment ID: I20230224000968
Provider NameMohammed Quraishi
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1871545269
PECOS PAC ID: 8123030814
Enrollment ID: I20230224001081
Provider NameKaren G Phillips
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801992813
PECOS PAC ID: 8729024161
Enrollment ID: I20230224001092
Provider NameVeronica Yumo Ruvo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740252725
PECOS PAC ID: 4183523855
Enrollment ID: I20230224001166
Provider NameShannon L St. Clair
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881030997
PECOS PAC ID: 3678714268
Enrollment ID: I20230224001226
Provider NameStanley R Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003802968
PECOS PAC ID: 4082527205
Enrollment ID: I20230224001377
Provider NameFrank Joseph Welte
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568676948
PECOS PAC ID: 6800933847
Enrollment ID: I20230225000380
Provider NameJake Vrdoljak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619976230
PECOS PAC ID: 8527253400
Enrollment ID: I20230225000422
Provider NameShawn T Stone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891040689
PECOS PAC ID: 6103103569
Enrollment ID: I20230225000426
Provider NameFang Yu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811159296
PECOS PAC ID: 9830214154
Enrollment ID: I20230227000124
Provider NameStephanie Rose Davison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285319491
PECOS PAC ID: 1951769132
Enrollment ID: I20230620003040
Provider NameAshley N Weathers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629734934
PECOS PAC ID: 4688032808
Enrollment ID: I20230621000908
Provider NameAshley Brooke Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205560661
PECOS PAC ID: 9931567179
Enrollment ID: I20230621001792
Provider NameGladys Kabamba Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154045821
PECOS PAC ID: 9638539927
Enrollment ID: I20230718003457
Provider NameHarwinder K Dhanoa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003594318
PECOS PAC ID: 4587024567
Enrollment ID: I20230721003168
Provider NameMichael A Clark
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639958481
PECOS PAC ID: 3779937313
Enrollment ID: I20230929002375

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.